NPI | 1235507096 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 9564) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 110786) |
Enumeration Date | 2015-09-10 |
Last Update Date | 2015-09-10 |